go back

Utah rates for HCPCS A4550

Surgical Trays

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.91 / $8.91 / $8.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $15.85 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $57.54 / $70.79
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $21.38 / $21.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $50.12 / $60.26
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $19.95 / $36.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $12.59 / $19.50